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F0610
D

Failure to Investigate Alleged Abuse Incident

Portland, Oregon Survey Completed on 07-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to conduct a thorough and timely investigation into an allegation of abuse involving a resident who was reportedly shoved into a wall by a former roommate. According to the facility's Abuse Prevention Policy, all suspected or alleged cases of abuse are to be investigated thoroughly and completed within five days. Documentation showed that the resident was moved to a new room following the altercation, and a family member reported the incident to staff immediately. Staff interviews confirmed that the incident was reported and known to staff, but the administrator acknowledged that a complete investigation was not conducted as required by policy.

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